Hypovitaminosis D and its relation to demographic and laboratory data among hepatitis C patients



Título del documento: Hypovitaminosis D and its relation to demographic and laboratory data among hepatitis C patients
Revista: Annals of hepatology
Base de datos: PERIÓDICA
Número de sistema: 000411742
ISSN: 1665-2681
Autores: 1
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Instituciones: 1Instituto Oswaldo Cruz, Laboratorio de Hepatitis Viral, Rio de Janeiro. Brasil
2Hospital Universitario de Valme, Unidad de Manejo Clínico de Enfermedades Digestivas, Sevilla, Andalucía. España
3Universidade Federal do Rio de Janeiro, Hospital Universitario Clementino Fraga Filho, Rio de Janeiro. Brasil
Año:
Periodo: Jul-Ago
Volumen: 14
Número: 4
Paginación: 457-463
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés The relationship between 25-hydroxyvitamin D [25(OH)D] serum levels and response to antiviral therapy and laboratory data in HCV infection remains unclear. The aim of this study was to determine pre-treatment 25(OH)D serum level among HCV infected individuals and to evaluate the association between vitamin D status, virological response, and laboratory data. Material and methods. Baseline serum 25(OH)D levels were measured in 237 chronic HCV infected patients (139 female, age 53.7 ± 11.2 years) using chemiluminescence immunoassay. Correlations between serum 25(OH)D levels, virological and laboratory data regarding HCV infection as well as sustained virological response (SVR) to antiviral therapy were evaluated. Results. Mean serum values of 25(OH)D was 26.2 ± 12 ng/mL and prevalence of vitamin D deficiency (< 30 ng/mL) was 66.2%. Advanced age (> 55 years), high mean values of LDL, total cholesterol, HDL and low mean values of alkaline phosphatase and hemoglobin were statistically associated to vitamin D deficiency. Antiviral treatment was underwent by 133 HCV patients and 44.3% of them achieved SVR. Most of individuals that presented SVR also presented 25(OH)D level higher than 30ng/mL (55.9%). SVR was associated to low mean values of LDL, total cholesterol and platelets; high mean values of ALT, AST and low fibrosis grade. Conclusions: In conclusion, low vitamin D levels were observed among HCV infected patients and was associated to laboratory findings, however baseline 25(OH)D level is not independently associated with SVR
Disciplinas: Medicina
Palabras clave: Gastroenterología,
Terapéutica y rehabilitación,
Hepatitis C,
Terapia antiviral,
Vitamina D,
Respuesta viral,
Hipovitaminosis
Keyword: Medicine,
Gastroenterology,
Therapeutics and rehabilitation,
Hepatitis C,
Antiviral therapy,
Vitamin D,
Viral response,
Hypovitaminosis
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